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Midwest ACA premiums set to rise again in 2027 for Missouri and Kansas
health19 days ago

Midwest ACA premiums set to rise again in 2027 for Missouri and Kansas

Missouri and Kansas carriers seeking ACA marketplace rate hikes for 2027 range from about 10% to 35% with double-digit increases across the board. UnitedHealthcare in Kansas is requesting roughly 30%–36%, driven by higher healthcare costs, increased claims, deductible dynamics, new technology, and a shrinking pool of healthier enrollees after subsidies expired. Regulators are reviewing the filings and accepting public comments (Missouri deadline Aug. 31; final rates due by Oct. 31). If approved, two-year premium growth could exceed one-third for marketplace plans, echoing broader national trends (median about 15%).

via thebeaconnews.org|
#aca#health#health-insurance
Centene rolls out staff buyouts to weather costs and shrinking membership
business2 months ago

Centene rolls out staff buyouts to weather costs and shrinking membership

Centene announced a voluntary separation program offering buyouts to some employees as it confronts higher medical costs, funding cuts and a shrinking member base. The company did not disclose how many workers are impacted or the target layoffs. The move follows a Q1 membership drop of 6% year over year to 26.3 million, with ACA membership down about 2 million in Q1 and an expectation that ACA membership could fall roughly 40% by the end of 2026. Shares dipped about 4% after Bloomberg first reported the plan, and layoffs could follow if the separation targets aren’t met.

via CNBC|
#aca#business#buyouts
GOP eyes health-spending cuts to fund Iran war
politics4 months ago

GOP eyes health-spending cuts to fund Iran war

House Republicans are weighing offsets from federal health programs—potentially cutting ACA subsidies and other Medicare payments—to help finance a budget bill up to $200 billion for funding a war in Iran and immigration enforcement. The plan could reduce subsidies, raise out-of-pocket costs for some enrollees, and save more than $30 billion; discussions are in early stages, with moderates wary and Democrats ready to attack. Any legislation would likely use reconciliation to bypass a Senate filibuster, aimed for a 60–90 day timeline.

via Axios|
#aca#budget#congress
ALS diagnosis buys Medicare relief, but premium cliff still threatens retirement
health6 months ago

ALS diagnosis buys Medicare relief, but premium cliff still threatens retirement

A California couple’s health care bills surge after Congress let enhanced ACA subsidies lapse, with monthly premiums rising sevenfold and threatening retirement savings. Jean Franklin’s ALS diagnosis enabled Medicare enrollment that saves about $1,600 a month, but the combined costs—including premiums for her plan and her husband’s coverage—remain a heavy burden as millions near retirement face a similar “premium cliff,” contributing to coverage losses and financial strain nationwide.

via CBS News|
#aca#health#medicare
Vermont Tops 2026 ACA Premiums as U.S. Health-Costs Rise
healthcare6 months ago

Vermont Tops 2026 ACA Premiums as U.S. Health-Costs Rise

A Voronoi visualization maps 2026 average monthly ACA Silver-plan premiums by state, with Vermont highest at $1,224; the national average is $752 (up 21% from 2025) as subsidies expire and insurers raise costs. Vermont also spends about 19.6% of income on healthcare, more than triple the U.S. average of 7.9%. Maryland has the lowest premiums at $480, while other states range up to about $1,100 (Wyoming $1,119; West Virginia $1,093). Alaska is the only state with a premium decline year over year; substantial increases occur in Nebraska (29%), Illinois (30%), Florida (33%), Connecticut (21%), and Louisiana (26%).

via Visual Capitalist|
#aca#health-insurance#healthcare
HDHPs tied to higher cancer mortality in new study
healthcare6 months ago

HDHPs tied to higher cancer mortality in new study

A Mayo Clinic-led study in JAMA Network Open found cancer patients on high-deductible health plans have significantly higher mortality than those on standard plans (46% higher all-cause, 34% higher cancer-specific). With ACA tax credits expired, premiums surged, pushing more people toward HDHPs and potentially delaying necessary care, which could worsen outcomes for cancer patients.

via Ars Technica|
#aca#cancer#hdhp
Subsidy Sunset Drives 1.4 Million Drop in ACA Enrollments for 2026
health7 months ago

Subsidy Sunset Drives 1.4 Million Drop in ACA Enrollments for 2026

CMS data show 1.4 million fewer people enrolled in ACA marketplace plans in January 2026 than January 2025, as the expiration of enhanced subsidies raises costs for low- and middle-income Americans; declines are concentrated in the South and Southeast, with some states like Texas and California bucking the trend. Experts warn higher premiums and potential loss of coverage as households face bills, and analysts expect enrollment to fall further amid continued political battles over subsidies.

via Business Insider|
#aca#cms#enrollment
ACA enrollment deadline looms as subsidy talks stall in Congress
health7 months ago

ACA enrollment deadline looms as subsidy talks stall in Congress

Most states’ open enrollment for ACA plans ends today as Congress stalls on extending enhanced premium tax credits; 10 states have extended deadlines into late January, while a House-backed three-year extension faces Senate resistance and a bipartisan two-year compromise has stalled. Without subsidy relief, silver-plan premiums could rise around 22% in 2026, according to Urban Institute, complicating enrollment for millions. About 22.8 million people had enrolled in ACA marketplace plans as of Jan. 12, down from last year. Extensions could be retroactive, but mid-year changes would complicate logistics and timelines.

via CBS News|
#aca#congress#enrollment
Trump unveils broad plan to cut ACA costs, but details await Congress
politics7 months ago

Trump unveils broad plan to cut ACA costs, but details await Congress

The Trump administration rolled out a broad healthcare plan dubbed The Great Healthcare Plan aimed at lowering ACA costs, including direct payments to individuals and expanded health-savings options, while promising to allow Congress to shape details; however, critics warn the plan lacks specifics and could destabilize ACA marketplaces, with no clear timeline for implementation.

via NBC News|
#aca#direct-payments#drug-pricing
House Passes Three-Year Extension of Obamacare Subsidies with Bipartisan Support
politics7 months ago

House Passes Three-Year Extension of Obamacare Subsidies with Bipartisan Support

U.S. Rep. Monica De La Cruz, a Republican from Texas, joined Democrats in passing a three-year extension of ACA subsidies, a move that could influence upcoming elections and faces uncertain prospects in the Senate. The measure aims to address rising healthcare costs and protect millions of Texans who benefit from the subsidies, despite opposition from some Republicans.

via The Texas Tribune|
#aca#bipartisan#healthcare